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APPLICATION FORM
NO-DOLLAR IMPORTATION OF USED MOTOR VEHICLE
(EXECUTIVE ORDER 156)
A.
PERSONAL INFORMATION
NAME OF APPLICANT:
DATE OF BIRTH:
CIVIL STATUS:
NATIONALITY:
PASSPORT NO:
IMMIGRANT CARD(I-CARD):
TYPE OF VISA:
OCCUPATION:
NAME OF SPOUSE:
FOREIGN ADDRESS:
PHILIPPINE ADDRESS:
CONTACT PERSON:
B.
MAKE:
ENGINE DISPLACEMENT (CC):
ENGINE NO.:
COLOR:
YEAR MODEL:
TYPE OF FUEL:
VEHICLE IDENTIFICATION NO.:
DATE OF REGISTRATION:
I hereby declare that the information in this application form are true and correct to the best of my
knowledge and belief, that they are given voluntarily and without fraudulent or deceitful purpose,
and that I am aware that any false statement will make me liable under the provisions of the Revised Penal
Code.
_________________________
APPLICANT
(Print complete name and signature)
SUBSCRIBED AND SWORN TO BEFORE ME, this ____ day of ____________________, Affiant exhibiting to me
his/her Residence Certificate No. ______________ issued at ______________ on _______________________
_________________________
NOTARY PUBLIC
Doc. No. ______
Page No. ______
Book No. ______
PTR
No. ______
Valid Until ______
Series of
______
Page 2/3
)
) S.S.
AFFIDAVIT OF UNDERTAKING
_______________________
Representative
SUBSCRIBED AND SWORN TO BEFORE ME, this ___ day of _____________. Affiant exhibiting to me
his/her Residence Certificate No. _________________ issued at ________________ on
_________________.
________________________
NOTARY PUBLIC
Page 3/3
C H E C K L I S T OF R E Q U I R E M E N T S
Page 1/3
I. BASIC REQUIREMENTS:
A. IMPORTER
1. Has resided abroad for at least one (1) year (accumulated within 3 year period of his/her stay abroad up
to the date of filing of the application).
2. Immigrants holding 13g or 13a visa or Dual Citizen
3. SRR Visa Holder under the Philippine Retirement Act
4. 47 (a)(2) Visa Holder under the Balik-Scientist Program
B. MOTOR VEHICLE
1. Left Hand Drive
2. Not to exceed 3,000 kgs. GVW
3. Registered under the name of the qualified importer for at least six (6) months prior to the submission of
the application to the Bureau of Import Services.
4. Certificate of Emission Compliance (CEC) from country of origin duly authenticated by the Philippine
Embassy abroad. (under CAA, RA 8749)
II. DOCUMENTARY REQUIREMENTS:
A. FOR PHILIPPINE PASSPORT HOLDERS
1. Completely filled-out and notarized BIS Application Form
2. Completely filled-out and notarized Affidavit of Undertaking;
3. 1 copy of 2x2 picture with signature
4. Original or authenticated copy of complete pages of old and new passport (for time period refer to I.A.1)
5. Original or authenticated copy of Car Title or Registration with English translation if necessary
6. Processing fee of One Thousand Five Hundred Pesos (Php1,500.00) for cars and Nine Hundred Pesos (Php900.00)
for motorcycle.
B. FOR FOREIGN PASSPORT HOLDERS (13A or 13G VISA HOLDER or DUAL CITIZEN)
FOR FOREIGNERS UNDER THE PHILIPPINE RETIREMENT ACT (Holder of SRR Visa)
FOR FILIPINOS/FOREIGNERS OF FILIPINO DESCENT UNDER THE BALIK SCIENTIST PROGRAM (47A2 Visa)
1. Completely filled-out and notarized BIS Application Form
2. Completely filled-out and notarized Affidavit of Undertaking
3. 1 copy of 2x2 picture with signature
4. Original or authenticated copy of passport stamped with valid 13A or 13G Visa or SRR Visa or 47(a)(2) Visa, as the
case maybe
5. Original or authenticated copy of old and new passport for dual citizens
6. Original or authenticated copy of Identification Certificate or Oath of Allegiance issued by the Bureau of Immigration
or Philippine Consulate/Embassy for dual citizens only
7. Original or authenticated copy of Car Title or Registration with English translation if necessary
8. Processing fee of One Thousand Five Hundred Pesos (P 1,500.00) for cars and Nine Hundred Pesos
(P 900.00) for motorcycle, and
9. Alien Certificate of Registration (ACR) and Immigrant Certificate of Residence (ICR) or Immigrant Card (I-Card).
10. Endorsement from the Philippine Retirement Authority (PRA) for SRR Visa and from Department of Science and
Technology (DOST) for 47(a) (2) Visa/Balik-Scientist Program.
Authentication is required only when original documents cannot be presented, unless expressly stated.
Non-original documents shall be authenticated by the Philippine Consulate/Embassy abroad
Certificate of car title or registration from UAE shall be authenticated by the UAE Ministry of Foreign Affairs
(MOFA) and consequently certified by the Philippine Consulate/Embassy in UAE.
NOTE:
Personal appearance of applicant at the BIS is required prior to the release of the motor vehicle from Bureau of
Customs (BOC).
Secure local Emission Certificates prior to LTO registration under CMO No. 34-2001 in accordance with Section
2, Rule XXXII of the Clean Air Act (RA 8749).
Only one vehicle shall be allowed per family (composed of the husband, wife and unemancipated minor children)
and can avail of the program only once (under Part II Sec. 3, par. d.3 of the guidelines).
There shall be no resale of the motor vehicle for three years (under EO 156 Article 2, section 3, paragraph 3.1.1).
After complying with all the above requirements, please submit to this office. Your documents shall be evaluated
and you shall be issued an authority to import on your motor vehicle if found qualified.